In a questionnaire to community nurses treating dermatological patients, 14 out of 69 (20%) either treated children or gave advice to parents regarding childhood eczema, 35 (51%) treated adult eczema, 11 (16%) treated...
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In a questionnaire to community nurses treating dermatological patients, 14 out of 69 (20%) either treated children or gave advice to parents regarding childhood eczema, 35 (51%) treated adult eczema, 11 (16%) treated psoriasis, 55 (80%) treated leg ulcers, and 30 (43%) treated other dermatological problems. Specific questions regarding confidence to treat or educate were analysed in relation to the tasks being performed. All but 15% (8/55) treating leg ulcers were confident about their ability to apply four-layer bandaging. However, 8 out of 11 (72%) respondents treating psoriasis were not confident about their ability to treat scalp scaling, 11 out of 14 (79%) of those treating childhood eczema were not confident about applying body suiting, and 26 out of 36 (72%) of those treating eczema (any age), were not confident about ability to recognize infection as a cause or complication of dermatoses. The favoured educational modalities were visits to the local dermatology department (60/69, 87%), availability of a dermatology Nurse Practitioner or Liason Nurse, or access to a hospital nurse-run dermatology clinic (both 44/69, 63%), or attendance at courses (36/69, 52%). Community nurses have an important role in treating and educating patients who may not require or be able to attend hospitals for treatment;they will achieve this best by provision of relevant locally based education, with allocation of adequate study time.
Nursing informatics is a combination of computer science, information science, and nursing science designed to assist in the management and processing of nursing data, information, and knowledge to support the practic...
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Nursing informatics is a combination of computer science, information science, and nursing science designed to assist in the management and processing of nursing data, information, and knowledge to support the practice of nursing and tho delivery of nursing care. The changes being experienced in health care today have also forced changes in the information technology needed to care for patients, especially critically in patients. The history of nursing informatics, the application of nursing informatics in today's health care arena, and the use of nursing informatics, as part of a health care information strategy in critical care, is discussed in this article.
The iatrogenic nature of hospitalization places patients at risk of falling, injury and death. In this article, the major principles of providing protective and preventive interventions are outlined. The principles ar...
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The iatrogenic nature of hospitalization places patients at risk of falling, injury and death. In this article, the major principles of providing protective and preventive interventions are outlined. The principles are the establishment of a multifaceted fall prevention program that targets fall interventions according to each etiologic factor;the recognition that fall protective and prevention interventions are distinct and serve a different function;the use of the fall monitoring system comprehensively;the creation of a clinical nurse specialist position, responsible for fall intervention;and a conscious and individualized approach to fall prevention. The process and problems of the varying nature of providing fall protection and fall prevention are discussed: for example, use of a side rail as a protective strategy may be successful with one patient but considered a hazard when used with a different patient.
Neonatal survival has risen progressively during the past 30 years. As the limits of viability continue to decline, the challenges of providing care to infants at the lowest extremes of gestational age and birth weigh...
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Neonatal survival has risen progressively during the past 30 years. As the limits of viability continue to decline, the challenges of providing care to infants at the lowest extremes of gestational age and birth weight continually increase. Nosocomial infections in this very fragile population can be devastating. The complexity of care of these premature infants requires specialized knowledge of the neonate, infectious disease processes, and methods to reduce infection risks in the neonatal intensive care unit. The role of infection control liaison has been established in our institution as an adjunct to meeting this challenge by providing a line of communication between staff, neonatologists, and the infection control team. This article describes the role of the infection control liaison and its overall impact on the infection control program in an 87-bed level II, III, and IV neonatal intensive care unit from 1995 to 1999.
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